Organization Active NPI

Jna Medical Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Fairfax, VA
National Provider Identifier
1851685382
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
110954 Issued in VA
Legal business name
JNA MEDICAL TRANSPORT, LLC
Practice address
4041 University Dr
#450
Fairfax, VA 22030-3414
Phone
(703) 474-3030
Fax
(703) 652-4215
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Randy Kamenetsky
Title
President
Phone
(703) 474-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 110954 VA Primary

Addresses

Primary practice location

4041 University Dr
#450
Fairfax, VA 22030-3414

Mailing address

4041 University Dr
#450
Fairfax, VA 22030-3414
Phone (703) 474-3030

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1851685382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 UNIVERSITY DR",
            "address_2": "#450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303414",
            "telephone_number": "703-474-3030",
            "fax_number": "703-652-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 UNIVERSITY DR",
            "address_2": "#450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303414",
            "telephone_number": "703-474-3030",
            "fax_number": "703-652-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNA MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "KAMENETSKY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-474-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "110954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.